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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Perineum |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00940 |
National average anesthesia conversion factor for CPT 00940 by major payers:

$56.82

$55.72

$54.67

$18.17
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Ventana Anesthesia Associates Inc
Healing The Soul
Cedars-Sinai Medical Care Foundation
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Rate Benchmarking
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See a sample payer proposalCPT 00940 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00940 code is part of the Anesthesia services used for Anesthesia for Procedures on the Perineum. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00940 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00882-CPT | Moderate | Anesthe For Procs On Major Lower Abdomi Vessels; Inferior V, Anesthesia For Procedures On Major Lower Abdominal Vessels; Inferior V |
| 00938-CPT | Low | Anes Insj Penile Prosthesis, Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Insertion Of Penile Prosthesis (Perineal Approach) |
| 00940-CPT | Low | Anesthesia Of Female Genitals, Anesthesia Services For A Procedure Involving A Womans Genitals: Labia Vulva Vagina Cervix Or Uterus. Examples Include Scope-Assisted Exams Taking A Tissue Sample For Testing (Biopsy) Microscopic Imaging And Minor Surgery. |
| 00942-CPT | Low | Anesthesia Of Female Genitals, Anesthesia Services For A Procedure Involving A Womans Genitals: Labia Vulva Vagina Cervix Or Uterus. Examples Include Scope-Assisted Exams Taking A Tissue Sample For Testing (Biopsy) Microscopic Imaging And Minor Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00940 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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